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2017 ; 21
(2
): ä Nephropedia Template TP
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Foregut Duplication Cysts in Children
#MMPMID28642639
Balakrishnan K
; Fonacier F
; Sood S
; Bamji N
; Bostwick H
; Stringel G
JSLS
2017[Apr]; 21
(2
): ä PMID28642639
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BACKGROUND AND OBJECTIVES: Duplications of the alimentary tract are rare
anomalies. We report our experience with foregut duplication cysts including
their clinical presentation, diagnostic modalities, and surgical management.
METHODS: We report a 20-year retrospective review of all foregut duplication
cysts managed at our institution. RESULTS: Twelve patients with 13 foregut
duplication cysts were identified. The ages of the children at the time of
surgery ranged from infancy to adolescence, with a mean age of 7.2 years. Half of
the patients presented with abdominal pain and vomiting, and the remaining either
had respiratory distress or were asymptomatic. All resections were performed
electively. Two of the 11 patients had other congenital anomalies, including a
congenital pulmonary airway malformation and coarctation of the aorta. One
patient had prenatal diagnosis by ultrasonography. Nine patients underwent
complete successful excision with no complications. Three patients whose symptoms
resolved during hospitalization remained under observation because of parental
preference. CONCLUSIONS: Foregut malformation in children may present with a
variety of symptoms or can be found incidentally. The decision and timing of
surgery is based on the clinical presentation. Surgical intervention in
asymptomatic patients should be based on a thorough discussion with the parents.
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